HomeMy WebLinkAboutPermit M94-0057 - CONNER MARIANNA..p
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Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M94 -0057
Type: B -MECH
Category: RES
Address: 4270 S 158 ST
Location:
Parcel #: 810860 -0144
Contractor License No: AMERIHS083M5
INSTALL GAS FURNACE.
Permit Center Authorized Signature
MECHANICAL PERMIT
TENANT CONNER MARIANNA G
4270 S 158 ST, TUKWILA, WA 98188
OWNER CONNER MARIANNA G
2602 49TH PL SW, EVERETT WA 98203
CONTRACTOR AMERICAN HEATING SERVICE INC.
7503C PORTLAND AVENUE, TACOMA, WA 98404
CONTACT ROBIN FLORENCE
7503C PORTLAND AVENUE, TACOMA, WA 98404
UMC Edition: 1991 Valuation:
Total Permit Fee:
- r7OctW L I _ -9L
Date
Status: ISSUED
Issued: 04/20/1994
Expires: 10/17/1994
Suite:
(206) 431-3670
Phone: 206 539 -1702
Phone: 206 539 -1702
** f t***************************************** ** * * *k * * ** * ** * *** * ** * * * * * ** * ***
Permit Description:
900.00
24.00
** ***************** *** **************** *** ** * * * * * * * * * * * * * * * * * * ** * * * * * * * * * **
I hereby certify that I have read and examined this permit and know the
same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate
or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign for and
obtain thi ilding permit.
Signature: L Date:
Print Name 61__L :.40.e__ Title 1
This permit shall become null and void if the work is not commenced within
180 days from the date of issuance, or if the work is suspended or
abandoned for a period of 180 days from the last inspection.
AMOUNT /
OWING:
CONTACTED
SITE ADDRESS
DATE NOTIFIED
BY:
(init.)
2nd NOTIFICATION
BY:
(init.)
3RD NOTIFICATION
BY:
(init.)
PROJECT NAME
C_ IA . r, M os (o ►nn o---
SITE ADDRESS
loZ�o � IS% 5k-
SUITE NO.
PLAN CHECK
NUMBER
I)rl4 -oc€n
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so
that the status of the project may be ascertained at any time.
• Plan corrections shall be completed and approved prior to sending to the next department.
• Any conditions or requirements for the permit shall be noted in the Sierra system or summarized
concisely in the form of a formal letter or memo, which will be attached to the permit.
• Please fill out your section of the tracking chart completely. Where information requ = -ted is not
applicable, so note by using "N /A ", date and initial.
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the project.
APPROVED
RE QUIREM
O PLANNING
O OTHER
INIT:
INIT:
INIT:
FIRE DEPT. L R ' • • TED:
3,44 BAR/LAND USE CONDITIONS? • Yes • No
411)0, ENI OUIRED? 0 Yes Q No
lEFER.1►t. ILE NOS.:
Sprinklers
Detectors
INSPECTOR:
N/A
O BUILDING -
initial review
O FIRE
O BUILDING -
final review
O BUILDING
OFFICIAL
REVIEW CO - LETED
CITY OF TUKW"
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
_JROUTED
INIT:
INIT:
FIRE PROTECTIO . •
UMC EDITION (year):
•
OMMENT
CONSULTANT: Date Sent - Date Approved -
•
01/07/93
SITE ADDRESS SUITE #
' (270 sO( Ti! /58' SY
VALUE if CONSTRU3ON - $
9 0 .
PROJECT NAME/TENANT
C O/U /U E 2.
ASSESSOR ACCOUNT #
F /D ?60 — N 6 //
Other: i_pn Fi r
TYPE OF WORK: Q New /Addition Q Modifications D Repair
DESCRIBE WORK TO BE DONE:
— 9 L<I a � a- CFA Z.c4`72{.1�C'. -C_
: TYPI= :::. ,1- : .:: ; : RATING /SIZE>< ..;,:. ; . : :: ; :NUMBER OUNITS P i : °:
' G I - r ' • .e S
WA. ST. CONTRACTOR'S LICENSE # 7J_ 2.=_, / �2
EXP. DATE 7_,;--2s._ Y
BUILDING USE (office, warehouse, etc.)
( 71 UPI - r & r- PEs /7G/vC
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? No 0 Yes IF YES, EXPLAIN:
X. I � THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
X. • O Yes
F ES, EXPLAIN:
PROPERTY OWNER C 0 rU N E i%
PHONE 932
_e ,i3O
ZIP 9sys'8'
ADDRESS Z -70 So , /S c `S.�/_,
CONTRACTOR A gicizt r4/ /7`E - ,3 - i 7 /Z) G S6_,,2 E .
PHONE �
_ / . 76-Z
ZIP S,ec 5
ADDRESS 7 s-02 - C- pc / 27 L-i4 rU f f- ii G'
WA. ST. CONTRACTOR'S LICENSE # 7J_ 2.=_, / �2
EXP. DATE 7_,;--2s._ Y
CITY OF TUKWILA `
Department of Community Development - Building
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER
MGT o
fl
APPLICATION MUST BE FILLED OUT COMPLETELY
DATE APPLICATION ACCEPTED
1 -1 1 GI tit
MECHAFL PERMIT
APPLICATION
Division
Mechanical Fee Worksheet must also be filled out
and attached to this application.
FEES (for staff use only)
DESCRIPTION
BASIC PERMIT FEE
UNIT(S) FEE ::
PLAN CHECK FEE
OTHER:
TOTAL
AMOUNT
$15.00
RCPT #.
I :.HEREBY CERTIFY THAT I'HAVE READ AND EXAMINED THIS. APPLICATION ANDKNO THE SAMETO BE TRU
AND CORRECT, AND I AM:AUTHORIZED TO APP LY:FOI THIS:P..ERMIT :>
S RE //
C�?QJ7 - >LCf t V --
PRINT NAM E• j /, /`) FC-
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON
ADDRESS .7 _ P 4TL4iif n /9 i
DATE
PHONE ,s -`fie / 70,2
CITY /ZI /Cif' 5 ; ;f 4 ,
PHONES_ ? _ XU
APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the
application completely and follow the plan submittal checklist on the reverse side of this form. Application and plans
must be complete in order to be accepted for plan review.
BUILDING OWNER /AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or contractor licensed
by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit
application and obtain the permit will be required as part of this submittal.
VALUATION OF CONSTRUCTION The valuation is for the work covered by this permit and must be filled in by the applicant. This
figure is used for budget reporting purposes only and not to calculate your fees.
EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall
expire by limitation. The Building Official may extend the time for action by the applicant for a period not exceeding 180
days upon written request by the applicant as defined in Section 304(d) of the Uniform Mechanical Code (current
edition). No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements,
please contact the Department of Community Development at 431 -3670.
DATE APPLICATION EXPIRES
03114/91
REGISTERED BY LAW AS A:
3'41
SIGNATURE
ISSUED By/
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ARTMENT OF LABOR AND INDUSTRIES
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•REGISTRATION NUMBER .
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EXPIRATION DATE •
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SIGNATURE
ISSUED By/
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ARTMENT OF LABOR AND INDUSTRIES
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CITY OF TUKWILA BUILDING DIVISION
6300, Southcenter Blvd., #100, Tukwila, WA 9818
A pproved per applicable codes.
C INSPECTION RECORD .
Retain a copy with permit
(206) 431 -3670
0 Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
Z•
/ !
rc
O $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
I WADI No.:
7n /
/
- -/-00
Special Instructi
r D() i '
pl im 5
Date wanted: //
6 - 2 .. g'-/ am. p.m.
Requester. 0 r "1C,1? v'`tJ
Phone No.: 0) -a - (,c)(30
CITY OF TUKWILA BUILDING DIVISION
6300, Southcenter Blvd., #100, Tukwila, WA 9818
A pproved per applicable codes.
C INSPECTION RECORD .
Retain a copy with permit
(206) 431 -3670
0 Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
Z•
/ !
rc
O $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
I WADI No.:
* * ** fir * * * *k* * *k ********* k********** * * *k* * * * *k * ** * * * * *•k* * * * * *A•k
CITY OF TUKWILA, WA TRANSMIT
* ** * * *kk ** ** ********** * * *k**•* * *k * * *•k * *k * * * *k * * ** * * * * * *k* *A * * **
TRANSMIT Number: 94000449 Amount: 24.00 04/20/94 10 :39
Permit No: M94.0007 Types B -MECH MECHANICAL PEW1
Parcel No: 810860- - 014 . 4
Site Address : 4270' "5 15B ST
Payment Method: CHECK Natation: AMERICAN HEATING Init: SLR
* * * * *k****** *************** ***** ****:* **k**** * * *k* ** ***** *****
Account Code
000/322.100
Total Faes"a
All Payments:
:Balance:
Description
MECHANICAL - RES
Total (This Payment):
24.00
2 4.00
.04
Paid
24.00
24.00
GENERA 24.00
TOTAL 24.00
CHECK 24.00
CHANGE 0.00
1214A000 22 :01"
Address: 4270 S 158 ST
Suite:
Tenant: CONNER MARIANNA.G
Type: B -MECH
Parcel #: 810860 -0144
CITY OF TUKWILA
Permit No: M94 -0057
Status: ISSUED
Applied: 04/20/1994
Issued: 04/20/1994
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Permit Conditions: -. a..,,-,,
1. "NO WORK SHALL BE DONE,,.�IhN= =AD6.I.TfI i,- Tfl 4 H ODIFICATIONS OR
REPLACEMENT OF EXI,S4T„ING AS° " .JESCRIBED ON THIS
ORIGINAL MECHANI:CALERMIT.,. 'i 6 r T
2. Plumbing permihal l b“obta'ined t.h`rough the Sea;tt;l;e -King
County Depar,t'`ni'er t of ..Pub 1.I "c' Heax`1 th". through
.n'g . 1 1``�b ,
inspected by,;,that' agency -, including all gas piping
(296-472 24i ! { . G ,, : , . ': . ;, \
3. Electric shal be obtained through l ,the }W,ashi.ngton4
State Dy1.v,isio'n of`'Labor and Iridu�stjr,<ies and all. e1'ectrical�
work wj l':1 be ins`pected by it at agency (248 - 66301)..
4. All Per;pilts.,. insp,e'ction :Aeco'r,,ds, and' approved plans s al'i
mainta,yheth4ivailable a;t the ,i'pb...s -ite prior to the sta`r•,t =�?of p {
a
any c'��nstruc,tion These document's -ar,e to be maintained �fi'� �
available until f i na l'`'i "nspec i approval i s granted'. ' t< ,
5. Al l
' '� o n to be done h ` ` m : , pp r f ,.
�,,dons i, 3 rr� �� confor. e�i� ce,,..wi ttr i?ved '`
plar1�s and requirements of } th' n t,oriMiBui.lding Code (1991 " a
Ed i�tal as amended .....by� the 1Was Ur h i g.ton l ate i l d i ng °�Cod,el
Uni,florm'- .Code, ('1999 Editj,i a nd •- tWashingtoh Stat
En C (1'99 'Second;" Ed'i t; on) , `t''_ -
6. Va l p fdi t ;xo f, Permi ti,/ T h e ` Iss 'o ff�,a - , pe_rm t or approval of
pia�.s sp clfi` ation's Nah0J- ComphV.oRt- thea1l "..not be on
str e ti: be. a,�ilpermit for or an pprovalof•
.s --) any vi�olatio
of a ,
�`" , ' 4 o i?Y .,
t"` r' violate j'e pr, ovisions of this cod ~';or w an�e�j athe'r
or di .: 1 ce tof ,the. p
Jurisdiction• o t it r• min , g
tp'i`vi'e
authd ty .o' or cancel tti ¢ rovi..i �`hs f this oa ie
I . \ �`
shall , e j v a l i d. i , .,a t t =' b :
7. MANUFAC '=INSTAL'1,ATION INSTBUCTIO 1S'..REQU >IRE ON $1TE
FOR THE' UcLDING ` ;INSPEC,TORS REVIEW. • '• :%, 1
�n
\ ._ 4 : y ;a .0 1.